Sponsorship/Donation RequestsFields marked with an * are required.error_outline Some fields contain errors Show {{form.showErrors ? 'Less' : 'More'}}keyboard_arrow_down {{error.field}} - {{error.message}} Name of person submitting requestFirst NameLast NameOrganization/Company NameAddressStreet AddressCityCountryPhoneEmailRequest TypeMonetary DonationIn-Kind Donation - Tickets or MerchandiseCombination of monies and in-kindDescription of donation requested/non-profitProposal/Donation RequestPlease attach any documentation to support your donation request.Non-Profit 501c3 LetterThe Cobras will only make monetary donations to those non-profits that are an APPROVED 501c3.PaymentDiscountSubtotalTaxTotal USDSubmitThe form has been submitted.
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